DEFORMIDADES VERTEBRAIS EM MULHERES COM OSTEOPENIA E OSTEOPOROSE EM SÃO LUÍS, MARANHÃO

Abstract

Purpose: To study vertebral deformities of Osteopeny/Osteoporosis among over 40 years old women, São Luís, Maranhão. To verify frequency of vertebral deformities in lumbar column. Methods: A prospective transversal study, peri-postmenopausal women period, selected by spontaneous demand, with recent bone densitometry (last 12 months) showing osteopeny/osteoporosis, at Centro de Densitometria Óssea do Maranhão, São Luís, between March and December, 2006. A questionnaire was aplicated, solicitated sacral column radiography at Centro de Diagnóstico Médico do Maranhão. Results: In 222, with 109 osteopeny and 113 osteoporosis, according with bone densitometry results. Higher osteoporosis frequency among women with more than three gestations and deliveries, postmenopausics, diabetics, users of alcoholics drinks, not user of milk and derivates, not obese and sedentary. Vertebral deformities by the lumbar-sacral column radiography, associated with osteoporosis reduced vertebral discus spaces (52%), vertebral fractures (12%), flatten vertebral bodies (8%), vertebral collapses (4%). Vertebral deformities before osteoporosis higher frequency, like osteophytes (75%), scoliosis (69%), artrosis (35%). Conclusions: White women, low escolarity and retired, more frequent. Age between 40 and 59 years old with osteopeny, over 60 years old osteoporosis. User of Sodic Alendronate for more time than a year, initiated at perimenopause, higher osteopeny frequency. Vertebral factures and vertebral collapses were the most important osteoporosis complications in lumbar-sacral column.